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Indiana rates for HCPCS 64581

Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.16 / $3,000.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,065.00 / $7,890.00 / $37,885.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.15 / $773.70 / $834.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,336.17 / $7,336.17 / $8,696.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,460.00 / $19,962.00